scholarly journals Retirement intentions of consultant psychiatrists

2005 ◽  
Vol 29 (10) ◽  
pp. 374-376 ◽  
Author(s):  
John M. Eagles ◽  
Karen Addie ◽  
Tom Brown
Keyword(s):  
Early Retirement ◽  
Postal Survey ◽  
Clinical Implications ◽  
Full Data ◽  
The Mean ◽  
Job Content ◽  
Retirement Intentions

Aims and MethodThrough a postal survey we sought to determine the current retirement intentions of consultant psychiatrists working in Scotland. Consultants were asked their likely date of retirement, whether they might return as a locum and what might induce them to retire later.ResultsFull data were returned by 180 consultants. The mean planned age at retirement was 58.0 years. Women intended to retire significantly earlier than men. Most respondents could be persuaded to retire later through changes in services, conditions or job content; only 7% regarded their proposed retirement date as immutable.Clinical ImplicationsEarly retirement among consultants is likely to contribute to an even more seriously understaffed service. It is necessary to seek national and individual changes to the factors that give rise to early retirement in psychiatry.

Retirement intentions of older consultant psychiatrists

2004 ◽  
Vol 28 (4) ◽  
pp. 130-132 ◽  
Author(s):  
Alex Mears ◽  
Tim Kendall ◽  
Cornelius Katona ◽  
Carole Pashley ◽  
Sarah Pajak
Keyword(s):  
Early Retirement ◽  
Response Rate ◽  
Important Determinant ◽  
Clinical Implications ◽  
Consultant Psychiatrist ◽  
Health Officer ◽  
Decisions To Leave ◽  
The Mean ◽  
The Uk ◽  
Retirement Intentions

Aims and MethodThis survey gathered data on the retirement intentions of consultant psychiatrists over the age of 50 years, in order to address retention issues. A questionnaire was sent to all 1438 consultants over this age in the UK.ResultsA total of 848 questionnaires were returned, an adjusted response rate of 59%. The mean age at which consultants intended to retire in this sample was 60 years (s.d. 4.16), suggesting a potential loss of 5725 consultant years. Reasons for early retirement are complex: factors encouraging retirement include too much bureaucracy, lack of free time and heavy case-loads; those discouraging retirement include enjoyment of work, having a good team and money. Mental Health Officer status is an important determinant in the decision to retire early.Clinical ImplicationsWith numerous vacancies in consultant psychiatrist posts throughout the UK, premature retirement is a cause for concern, possibly contributing to an overall reduction in consultant numbers of 5%. Addressing factors that influence consultants' decisions to leave the health service early should form an important part of an overall strategy to increase consultant numbers.

scholarly journals Facilities for carers of in-patients in forensic psychiatric services in England and Wales

2010 ◽  
Vol 34 (9) ◽  
pp. 381-384 ◽  
Author(s):  
Irene Cormac ◽  
Drew Lindon ◽  
Hannah Jones ◽  
Trevor Gedeon ◽  
Michael Ferriter
Keyword(s):  
Mental Health ◽  
Postal Survey ◽  
Psychiatric Services ◽  
Clinical Implications ◽  
England And Wales ◽  
Mental Health Settings ◽  
Forensic Psychiatric ◽  
Minority Ethnic ◽  
Psychiatric Facilities

Aims and methodA postal survey of forensic psychiatric facilities in England and Wales was undertaken to obtain information about the services provided for carers of in-patients within these services.ResultsForensic psychiatric services vary in the support and facilities provided for carers. Many do not comply with current legislation for carers. Most units informed carers of their rights to have an assessment, but only a minority provided facilities for carers from Black and minority ethnic backgrounds.Clinical implicationsForensic psychiatric services should meet standards for the involvement and support of carers in mental health settings, and comply with legislation for carers.

scholarly journals Use of cognitive–behavioural therapy skills among trained psychiatrists

2006 ◽  
Vol 30 (2) ◽  
pp. 58-60 ◽  
Author(s):  
Graeme Whitfield ◽  
Moira Connolly ◽  
Alan Davidson ◽  
Chris Williams
Keyword(s):  
Professional Development ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Postal Survey ◽  
Clinical Implications ◽  
Therapeutic Activity ◽  
Protected Time ◽  
Training And Supervision ◽  
Cognitive Behavioural ◽  
The Cost

Aims and MethodPrevious studies have suggested that despite the cost of attendance at postgraduate cognitive–behavioural therapy (CBT) courses, psychiatrists are unable to engage in CBT after qualification. A postal survey of psychiatrists with postgraduate CBT training currently practising in Scotland was performed to assess the levels of training and supervision that they provide, therapeutic CBT activity, and supervision and continued professional development that they receive.ResultsOf the 58 psychiatrists, 51 replied to the survey (88%). Less than half of the respondents supervised other staff. Although 43 (84%) engaged in some therapeutic CBT activity, only 25 (49%) received supervision for their own practice. The main reasons given for not engaging in CBT therapeutic activity were that there was inadequate ‘protected time’ and that CBT had not been included in ‘job plans'.Clinical ImplicationsPsychiatrists can help to disseminate CBT skills. To do this, they require personal supervision, and time for the development and maintenance of therapeutic skills as well as for the training and supervision of others. This survey builds on the results of others and indicates that these requirements are currently being inadequately met.

scholarly journals Can we improve the outcome of hydrodilatation for adhesive capsulitis?

2017 ◽  
Vol 10 (2) ◽  
pp. 93-98 ◽  
Author(s):  
David N. Haughton ◽  
Simon Barton ◽  
Erin Meenan ◽  
Rakesh Mehan ◽  
Philip Wykes ◽  
...  
Keyword(s):  
Adhesive Capsulitis ◽  
Painful Procedure ◽  
First Line ◽  
Full Data ◽  
Oxford Shoulder Score ◽  
Post Traumatic ◽  
The Mean ◽  
And Function ◽  
Shoulder Score ◽  
First Line Treatment

Background Hydrodilatation (HD) has been shown to improve pain and function in patients with adhesive capsulitis (AC). There is no consensus concerning how HD should be performed or what volume should be injected. It has distinct advantages compared to surgery; however, it is a painful procedure and is often poorly tolerated. Methods We retrospectively reviewed all patients referred for HD over a 2.5-year period aiming to assess whether volume injected influences outcome. Results There were 107 patients treated with HD; of these, 76 (43 female, 32 male) had full data for analysis. The majority were classified as primary AC ( n = 57) with an average age of 55.5 years. The mean improvement in Oxford Shoulder Score (OSS) was 12.1, with females (13.9) and post-traumatic cases of AC (14.1) demonstrating the best outcome. No complications were observed during the HD process. There was a negative correlation observed between volume injected and OSS improvement. Only two patients experienced a poor outcome and required further treatment with manipulation +/– arthroscopic arthrolysis. Conclusions The present study supports the use of HD as a first line treatment for AC regardless of the underlying cause, and also demonstrates that the volume injected does appear to influence the outcome.

scholarly journals Stress in psychiatrists: coping with a decade of rapid change

2011 ◽  
Vol 35 (4) ◽  
pp. 130-134 ◽  
Author(s):  
Shanaya Rathod ◽  
Minal Mistry ◽  
Ben Ibbotson ◽  
David Kingdon
Keyword(s):  
National Health Service ◽  
Early Retirement ◽  
Response Rate ◽  
Rapid Change ◽  
Clinical Implications ◽  
Personal Lives ◽  
The Past ◽  
Working Lives ◽  
Adverse Impacts ◽  
The Impact

Aims and methodThe study explored the impact of National Health Service changes on the working and personal lives of psychiatrists. A questionnaire survey was carried out with psychiatrists working in the South Eastern Division of the Royal College of Psychiatrists.ResultsThe response rate was 44.9%. Changes to services have reduced stress in some areas, but increased stress in others. Over the past decade early retirement has become less popular, but psychiatrists have been more likely to self-prescribe and have suicidal thoughts.Clinical implicationsThe increasing involvement of psychiatrists in leadership may be a way to reduce adverse impacts of future changes on their working lives.

scholarly journals Trainees need more psychiatric teaching sessions and role models: exposure to psychiatry in the Foundation Programme

2013 ◽  
Vol 37 (6) ◽  
pp. 207-209
Author(s):  
Adam Moreton ◽  
Andrew Collier
Keyword(s):  
Role Models ◽  
Active Role ◽  
University Teaching ◽  
Teaching Hospitals ◽  
Clinical Implications ◽  
General Hospitals ◽  
Foundation Programme ◽  
The Mean ◽  
University Teaching Hospitals ◽  
North Western

Aims and methodTo determine the provision of teaching in psychiatry for foundation doctors up to the point of making specialty applications. Data for the cohort of foundation doctors entering training in 2010 were collected from teaching programmes across the Mersey Deanery and North Western Foundation Schools.ResultsIn the 17 hospitals that provided data, ‘protected teaching’ totalled 2354 h; 1.8% of time was dedicated to psychiatry, with 4 hospitals providing no teaching on mental health topics. The mean duration of psychiatry teaching was higher in university teaching hospitals (3 h 34 min) than district general hospitals (2 h 57 min); and almost a quarter of teaching sessions were titled only ‘psychiatry’.Clinical implicationsFor many foundation doctors their only experience of psychiatry will be through teaching sessions, and this is potentially the only time to change opinions and build interest in the specialty. Psychiatrists need to take a more active role in the provision of high-quality teaching for foundation doctors and become the visible role models which are currently lacking.

Recruitment, retention, satisfaction and stress in child and adolescent psychiatrists

2003 ◽  
Vol 27 (2) ◽  
pp. 61-67 ◽  
Author(s):  
S. Littlewood ◽  
P. Case ◽  
R. Gater ◽  
C. Lindsey
Keyword(s):  
Psychological Distress ◽  
Job Stress ◽  
Management Training ◽  
Child And Adolescent ◽  
Postal Survey ◽  
Self Management ◽  
Clinical Implications ◽  
The Uk ◽  
Staffing Requirements ◽  
Safe Access

Aims and MethodA postal survey was sent to all consultant child and adolescent psychiatrists in the UK and Eire examining recruitment, retention, job satisfaction and job stress.ResultsA response was received from 333 (60%) child and adolescent psychiatrists. Sixty-one per cent indicated their service was inadequately resourced and 89% reported that their service failed to meet the College's minimum staffing requirements. Safe access to in-patient beds was not available to 71%. One hundred and thirty vacant posts were identified. Rates of psychological distress and burnout were high. Adequate services and the presence of a close, supportive colleague were associated with higher rates of satisfaction and lower rates of psychological distress and emotional exhaustion.Clinical ImplicationsA multi-faceted approach is suggested and recommendations are described under the headings of self-management, training, recruitment and commissioning.

scholarly journals Consultant psychiatrists' working patterns

2007 ◽  
Vol 31 (7) ◽  
pp. 252-255
Author(s):  
Alex Mears ◽  
Sarah Pajak ◽  
Tim Kendall ◽  
Cornelius Katona ◽  
Jibby Medina ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Random Sample ◽  
General Health ◽  
Response Rate ◽  
General Health Questionnaire ◽  
Lifestyle Factors ◽  
Clinical Implications ◽  
Health Questionnaire ◽  
Significant Relationships ◽  
Job Content

Aims and MethodTo explore relationships between different styles of working and measures of occupational pressure in consultant psychiatrists. A random sample of 500 consultant psychiatrists were sent a questionnaire about working patterns and lifestyle factors, with other sections using validated tools (such as the 12-item General Health Questionnaire; GHQ).ResultsThere were 185 useable questionnaires returned (an adjusted response rate of 39%). Significant relationships were identified between job content and GHQ and burnout scores, indicating that occupational pressures are rendering some consultant posts ‘problem posts', leading to problematic levels of psychological distress among some consultants.Clinical ImplicationsAlthough consultant psychiatrists are more satisfied than not with their jobs, steps need to be taken to address the causes of ‘problem posts', to reduce attrition in the most pressured individuals.

scholarly journals In-patient neuropsychiatric brain injury rehabilitation

2000 ◽  
Vol 24 (7) ◽  
pp. 264-266 ◽  
Author(s):  
Fernando Lazaro ◽  
Rob Butler ◽  
Simon Fleminger
Keyword(s):  
Brain Injury ◽  
Verbal Aggression ◽  
Clinical Implications ◽  
Severe Brain Injury ◽  
Rehabilitation Unit ◽  
Injury Rehabilitation ◽  
Physical Problems ◽  
Cognitive Behavioural ◽  
Wide Range ◽  
The Mean

Aims and MethodTo discuss the service offered by an in-patient neuropsychiatric brain injury rehabilitation unit. To examine the demographic details of patients admitted to the unit. To find the commonest reasons for referral.ResultsThe notes of 78 patients admitted to the unit, over a two-year period, were examined. Seventy-three per cent were male and the mean age was 45 years. Seventy-five per cent of admissions had a severe brain injury. Two-thirds of the patients were admitted within six months of their injury. The most common reasons for referral were memory difficulties (n=61), verbal aggression (n=31) and temper control(n=25).Clinical ImplicationsIn-patient neuropsychiatric brain injury rehabilitation units offer management of patients referred with a wide range of cognitive, behavioural, functional and physical problems.

scholarly journals Connecting VIX and Stock Index ETF with VAR and Diagonal BEKK

2018 ◽  
Vol 11 (4) ◽  
pp. 58
Author(s):  
Chia-Lin Chang ◽  
Tai-Lin Hsieh ◽  
Michael McAleer
Keyword(s):  
Global Financial Crisis ◽  
Empirical Studies ◽  
Stock Index ◽  
Conditional Heteroskedasticity ◽  
Exchange Traded Funds ◽  
Sample Period ◽  
Full Data ◽  
Data Set ◽  
Lm Test ◽  
The Mean

As stock market indexes are not tradeable, the importance and trading volume of Exchange-Traded Funds (ETFs) cannot be understated. ETFs track and attempt to replicate the performance of a specific index. Numerous studies have demonstrated a strong relationship between the S&P500 Composite Index and the Volatility Index (VIX), but few empirical studies have focused on the relationship between VIX and ETF returns. The purpose of the paper is to investigate whether VIX returns affect ETF returns by using vector autoregressive (VAR) models to determine whether daily VIX returns with different moving average processes affect ETF returns. The ARCH-LM test shows conditional heteroskedasticity in the estimation of ETF returns, so that the Diagonal BEKK (named after Baba, Engle, Kraft and Kroner) model is used to accommodate multivariate conditional heteroskedasticity in the VAR estimates of ETF returns. Daily data on ETF returns that follow different stock indexes in the USA and Europe are used in the empirical analysis, which is presented for the full data set, as well as for the three sub-periods Before, During, and After the Global Financial Crisis. The estimates show that daily VIX returns have: (1) significant negative effects on European ETF returns in the short run; (2) stronger significant effects on single-market ETF returns than on European ETF returns; and (3) lower impacts on the European ETF returns than on S&P500 returns. For the European markets, the estimates of the mean equations tend to differ between the whole sample period and the sub-periods, but the estimates of the matrices A and B in the Diagonal BEKK model are quite similar for the whole sample period and at least two of the three sub-periods. For the US Markets, the estimates of the mean equations also tend to differ between the whole sample period and the sub-periods, but the estimates of the matrices A and B in the Diagonal BEKK model are very similar for the whole sample period and the three sub-periods.

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